Eye Care For Rhode Island | |
939 W Main Rd, Middletown, RI 02842-6390 | |
(401) 847-1383 | |
(401) 847-1384 |
Full Name | Eye Care For Rhode Island |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 939 W Main Rd, Middletown, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851492482 | NPI | - | NPPES |
0017102 | Other | MA | MEDICARE |
CC41177 | Medicaid | RI | |
9022363 | Medicaid | RI | |
9004227 | Medicaid | RI | |
709006179 | Other | RI | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Charles M Collins |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457452120 PECOS PAC ID: 0042209710 Enrollment ID: I20040507001179 |
Provider Name | Frederic Kelley |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659472249 PECOS PAC ID: 0143252981 Enrollment ID: I20050901000340 |
Provider Name | Carlos R Defreitas |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336136894 PECOS PAC ID: 0446385264 Enrollment ID: I20100323000262 |
Provider Name | Lucas James Medeiros |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649967498 PECOS PAC ID: 8426403213 Enrollment ID: I20231013003276 |
Mailing Address | Practice Location Address |
---|---|
Eye Care For Rhode Island 939 W Main Rd, Middletown, RI 02842-6390 Ph: (401) 847-1383 | Eye Care For Rhode Island 939 W Main Rd, Middletown, RI 02842-6390 Ph: (401) 847-1383 |